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Home My WebLink About2011-01440 - roofing ,. CITY OF ORONO PERMIT NO.: 2011-01440 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1 U15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1200 LOMA LINDA AVE PIN : 08-117-23-23-0027 LEGAL DESC : SAGA HILL REVISED : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 162.25 RYAN SAWDEY CONSTRUCTION 113 BRIDGE AVE. E STATE SURCHARGE(VALUATION) 4.00 DELANO,MN 55328- TOTAL 166.25 (763)286-0800 Minnesota State License#: BC318786 OWNER ETAL,EDMUND GRIFFIN 1210 LOMA LINDA AVE MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � // //�/ //' i / Applicant Permitee Signa�re Date Issued By Si ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE. �`�, , �f .�� r- iy�:,� '� �' � . City of Orono � � � a � x . Building Permit Application for Maintenanee / Renovation ' �i,s k � (windows, doors, siding, re-roof, etc.) �* Mailing Address: Permit number: � �v�,� PO Box 66 �< Crystal Bay, MN 55323-0066 Date received: '� �� O ;a� � r Received b j� a , �{ �;� s, Street Address: y� �� ,,;R'�, �� 2750 Kelley Parkway Plan review fee: },� ��kESHo�'� Orono, MN 55356 r=� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. `:� Incomplete applications will be returned. (Please print) ''�' GENERAL INFORMATION: k`;�� Job Site Address: /'�� .�,,,,� ��,�,,.�� i `y,��. `�':� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No �� If yes,a special event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shutt/e bus service will be � required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. ��a .. Y4 CONTRACTOR/APPLICANT INFORMATION: � `.� Name: C f� co 1LS7� '�t_- '�� State License# �_��.y Expiration Date: � �� _� � �� - �`. Lead Certification Number: Expiration Date: ;� (for work on homes that were construcfed prior fo 1978 .� Phone: ' -� � (office) (cell) � Mailing Address � � � �. �, City: .:--2 ZIP: y�-� v ;�y Contact Person: `��,.��r�_ ��s �� Applicant is: Contractor / Homeowner (Circle One) � ,$; Email and/or Fax: �� .�rys ,,,,,, PROPERTY OWNE INFORMATION: �y N a m e: c'Yt � [_.,r42��1� Ld��l �' Phone (day): g5,�-��-R�� . >`� Address: ja� �n�� L��,k� City:��,� ZIP: �' Email and/or Fax ,j� t,;. PROJECT INFORMATION: "'•� Type of Project: Any earth movement may require :�_; MCWD review& ermits: ❑ Door(s) ❑ Remodel ❑ Fire Damage p �- Minnehaha Creek Watershed District(MCWD) �� Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 '' ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq Overall Project Description: = f � Estimated Construction Valuation of Project(excluding land) $ $��'" � � ;"�, APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; � �� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they "? are solely responsible for submitfing a complete application being aware that upon failure to do so, the staff has no alternative .� but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the :�;; data. Confidential data is information which generally cannot be given to either the pub(ic or the subject of the data. Our ;�,� purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ,'? > �i ApplicanYs Signature: --_ - Date: �� /�� Last Updated: 08-09-2011 ATE� � TIME �/ CITY OF ORONO % CALLED IN /! �1// INSPECTION NOTICE /� SCHEDULED /� _-�� PERMIT NO. ��1�v� �� COMPLETED / � ADDRESS ��UD L��Y'�� G G"�� OWNER TELEP ONE NO. ��a-C� '75�� CONTRACTOR � >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o y ��.�` nol �i�l�l� a � 0 � W � Q � Z W � W � j � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice